Healthcare Provider Details

I. General information

NPI: 1700607124
Provider Name (Legal Business Name): PASTEUR & WELLMAX MEDICAL CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2024
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 NE MIAMI GARDENS DR
MIAMI FL
33179-4900
US

IV. Provider business mailing address

6355 SW 36 AVE EAST BUILDING STE 1100
VIRGINIA GARDENS FL
33166
US

V. Phone/Fax

Practice location:
  • Phone: 786-248-5374
  • Fax: 786-248-5384
Mailing address:
  • Phone: 786-233-6981
  • Fax: 786-322-2317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: JORGE RAAD
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 786-233-6981